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Individual

AMY J IRWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1860 TOWN CENTER DR STE 460, RESTON, VA 20190-5901
(703) 437-6535
(703) 437-6549
Mailing address
1860 TOWN CENTER DR STE 460, RESTON, VA 20190-5901
(703) 437-6535
(703) 437-6549

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101243536
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063685121
VA
Enumeration date
04/10/2008
Last updated
12/23/2020
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